Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $5,248.07 / $10,000.00	Facility		$436.52	$5,248.07	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $1,258.93	Professional		$199.53	$316.23	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $257.04 / $309.03	Professional		$107.15	$257.04	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $338.84 / $645.65	Professional		$194.98	$338.84	$645.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $512.86	Professional		$338.84	$457.09	$512.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,248.07 / $8,317.64	Facility		$3,388.44	$5,248.07	$8,317.64
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $331.13 / $588.84	Professional		$181.97	$331.13	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,801.89 / $7,762.47	Facility		$1,862.09	$3,801.89	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $229.09 / $537.03	Professional		$134.90	$229.09	$537.03